francisco. let me start by admitting no that you we are here, when we first started project i was not hugely optimistic that we are going to get here. i want to echo and appreciation for everyone who sat at the operating table to create this critical project. success has a lot of parents and let me first start by thanking my colleagues to what he referred to as the three amigos. i of course want to

thank the many city staffers that brought us out today. i want to bring out the hundreds of folks but in particular thank you mr. mayor for working with us and in particular ken rich, you really get one of the major unsung hero award for your efforts. i want to take a moment also to thank our counter parts across the table from cpmc, this is a different conference than the conference i called for back in july, is that right? i want to thank you for your demonstration in san francisco and i look forward to opening up a brand new saint luke's and cathedral

hospital. of course much has been said about gerardo, if you are looking for a feature story to do on someone. david has already suggested he go to the middle east. i'm going to ask lou, we need some help with homelessness and i wonder if you are ready for that task. oor there is literally thousands of people that interacted with city hall to make sure we address the housing labor issues, the transit issue, the neighborhood issues. we can go on and on but this deal wouldn't have been put together without all of your input. let me flush out other issues. first of all this

is going to be 50 percent larger and a cathedral hill that will be smaller in addition to the health care innovation fund and issues around how we deal with cost limitations. we do have significant provisions about the future of the charity care. in the original development agreement that we were discussing many months ago, there was a dollar commitment to that charity care in this agreement we are taking a comparable commitment of the number of charity care patients per year that will be taken care of, approximately 30,000 a year which is a better way to measure the charity care than the obama care coming down the pike. there is a hundred new

lives they will take care of including 1500 that will come in the tenderloin neighborhood. another topic that has been around is local hiring and work force training, i know my friend from the building trade, cpmc will continue to hire for jobs from san francisco. but in addition to that we have improved the provisions for permanent entry level jobs. initially there were several jobs we were committing to, we have agreed to 40 percent of new entry level permanent jobs will come from san francisco. these will come from residents from real working class

neighborhoods, the southeast neighborhood, sonoma, tend lions and also the work force training to $4 million. le me talk about transportation the intersection at the site. there were a lot of questions about potential 28,000 new car trips to that sight. let me say a couple things, obviously with the hospital half the size, that is less congestion to the area. the parking garage is about 200 parking spots smaller

there will be $14 million to provide transit. other pedestrian safety and transit i am improvements that we need in the neighborhood. in addition to that i want to thank cpmc to help manage traffic congestion and more policies to use clipper card. this afternoon at the board of supervisors we will be introducing 10-page single space that lays this out. i first want to thank all of you to make sure this becomes a reality. thank you. [ applause ] >> thank you, david. the next speaker that i would like to introduce is warren browner

the ceo of cpmc and be at the stable for the last few months. i believe he suffered fatigue and is worried at times but kept himself together and represented c p m c well with a vision and thought process for the common good for the patients of cpmc and tomorrow and would like to thank him for bringing this all to a conclusion. i present to you warren browner. >> thanks, well, as you heard, i'm the c o. i would like to

say welcome. let me tell you that what you thought was fatigue was actually walking pneumonia which i'm slowly getting better. my grandmother would have called it a chest cold but modern technology substantiated more serious that that. i want to thank all who came and our colleagues who have been supporting this project from the very beginning. [ applause ] two members of the board of west bay hospitals. bishop mark andres and everyone who has been incredibly supportive of everything we have done and without whom this deal would

not have happened. he's the one that has the deal on his computer. for those of you who know how word document works, he's done 99 percent of it. and lou gerardo, his respect and love for the city of san francisco made this all happen. i want to make, really my comments are mostly addressed to the group of us who sat around the table and it's a 3 word sentence. we showed sif fuss. there were many times when it looks like we were pushing an incredibly heavy rock up and even steeper hill and we would never get to the summit and we are here and

delighted to be and very much looking forward to the final step of going through the board and putting shovels in the ground we hope sometime in 2013. again, thank you all for coming, thank you for supporting cpmc and our vision to build 2 new hospitals in this wonderful city of san francisco. thank you. [ applause ] >> thank you. warren. i would like to introduce barbara garcia the director of public health who has been counseling us through this process and answering questions and providing us with staff and expertise and help us understand what we were learning. barbara garcia. >> good morning. this is a very exciting time for the department of public health. i

want to give thank yous to mayor lee and i also want to thank our health commission in 2008 they laid out a policy and became the foundation today. in fact my second week on-the-job campaign to us came to work on this issue and the last two years, our staff and our policy director, mark who is our capital consultant along with our cfo has provided a lot to the team. it does take a large community effort to do this. i worked closely with the community as well. i want to acknowledge bob through this crowd here and as well as paul kumar. they led that charge for us and i really appreciate the

work. we are having an incredible agreement today. two seismically safe hospitals and that's really important. we are in the midst of rebuilding san francisco hospital and i know how important it is to have safe hospitals. some of the important community benefits from this process, but i would like to especially acknowledge warren browner from cpmc, judy lee and michael, we are also working on a lot of projects because of this initial process. again the supervisors coming in and lou to finalize this process made it all happen. we should be very proud. there are 30,000 individual when health care reform happens and they qualify for health insurance and this will be a new and safe hospital. thank you so much on

behalf of all. [ applause ] >> that's it ladies and gentlemen of the thank david chu and campos. i enjoyed it and glad we are done.

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular

communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed

to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they

are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able

to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with

this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. .

>> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives,

who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effectivemuch. >> i want to welcome everybody. i'm from kiss fm and the voice of your san francisco giants at

the park. we've got to great program planned for you today and keep that energy up. and thank you to lincoln high school. this is going to be a very exciting day as mayor lee and the giants kickoff the campaign. it is our goal along with your hope to keep san francisco clean and beautiful this wonderful city that we love for generations to come. we're going to keep you very attend let's get this program started with a beach blanket babylon with an original song and let's welcome renée wilson.

♪ ♪ to keep you clean is why we gather here. it's time for us to care. that's why i'll help our mayor to polish every street with one big giant sweep. oh, whistle why while you work. and carefully together we'll show our pride. just like the giants we will

triumph but there's work to do. no litering so make sure you pick up your trash. ♪ ♪ ♪ ♪ so whistle while you work. we must work hard to reach our goal keep san francisco beautiful. just work don't be a quiter. keep our city all a glitter.

san francisco. open your golden gate you've let no stranger wait outside your door. san francisco here is you're wondering one saying i'll litter no more. others loose only make me love you best. so listen everybody i have one request. clean up the mess. san francisco. welcome me home again. i'm coming home to leave no more. ♪ ♪

♪ >> did you all enjoy that? let's go mustangs. that's right keep that energy going. of course, the cheerleaders are right in there. keep that energy your enthusiasm and your applause going now. it's with my honor i introduce to you the mayor of the san francisco the honorable east lee.

let's give her a big hand and if you want to see what a world series ring looks like ask her she's got it on her finger. hunter is waiting for his. well, i'm so glad to be out here with the mustangs. you are world class students congratulations for being at lincoln high school. we've got a lot of people here today. i asked as many of our staff and city departments to join us. i want to thank scott wiener he's in the house. we've got our public works,

we've got both our fire chief and police chief here. we have our transportation director here. our port director is here our park and recreation director. we have environment director here. yes, we of our mayor's office of disabilities here and john is here. we have our arts director here as well tom. i want to also thank all of them. i want to thank the chrnd day kids who are here as well. go get them. and i want to thank especially the president of our san francisco board of education

thank you richard important being here. she's all of our school and everybody. lucille thank you for being here. i'm so excited. i'm so excited you, you know, tomorrow the giants starts and i hope some of you are going to be here. i still can't stop celebrating the series in san francisco. two times the last few years this time it was a sweep. when i asked the owner and the whole organization can we work with you? i've been part of an ed